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Contact Information

MONROEVILLE DIAGNOSTIC IMAGING SPECIALISTS LLC
3824 NORTHERN PIKE
MONROEVILLE, PA15146
 Phone: 412-373-6342
 Fax: 412-373-6347
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiology

261QR0200X 74 Radiation Therapy Center
Indicates primary specialty

NPI Profile & details for MONROEVILLE DIAGNOSTIC IMAGING SPECIALISTS LLC

NPI # 1770622870
LBN Legal business name MONROEVILLE DIAGNOSTIC IMAGING SPECIALISTS LLC
Authorized official DANA WARDLOW - (PRACTICE ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 02/05/2007
Last updated 01/28/2009 - About 17 years ago
Identifiers
PA Medicaid 1012938680001
Other 7593730 AETNA
Other 1547029 GATEWAY
Other 001736377 HIGHMARK
Other P00271297 RAILROAD MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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